<%-- 
    Document   : relatorioQtdeConsultas
    Created on : 25/11/2013, 11:57:06
    Author     : rosana
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>        
        <meta name="viewport" content="width=device-width, initial-scale=1.0">
        <link href="css/bootstrap.min.css" rel="stylesheet" media="screen">
        <link href="css/style.css" rel="stylesheet" type="text/css" />
        <script src="http://ajax.googleapis.com/ajax/libs/jquery/1.10.2/jquery.min.js"></script>
        <script type="text/javascript" src="js/bootstrap.min.js"></script>
        <title>Clínica Médica - Sua saúde em primeiro lugar</title>        
    </head>
    <body>        
        <div class="container">
            <jsp:include page="cabecalho.jsp" flush="true" />       
            <div class="content">
                <div class="panel panel-default espaco-form">                    
                    <div class="row">
                        
                        <div class="col-md-10">
                            <h3>Relatório Quantidade de Consultas por Período</h3>
                        </div>
                        <div class="col-md-2">
                            <a class="btn btn-success pull-right espaco-botao" href="javascript:history.back(1)" title="Voltar">Voltar</a>                    
                        </div>     
                    </div>
                    <p></p><br>
                    <form method="POST" action='FrontController'>
                       <input type="hidden" name="servlet" value="PresenteNatal">
                       <div class="row">
                            <div class="col-md-1" >
                                <label class="label-grande" for="paciente">Paciente:</label>        
                            </div>
                            <div class="col-md-2">
                               <input class="input-text" id="paciente" type="text" size="30" name="paciente" placeholder="id" required>
                            </div>
                        </div>   
                        <div class="row">
                            <div class="col-md-1" >
                                <label class="label-grande" for="data-inicio">Data Inicio:</label>        
                            </div>
                            <div class="col-md-2">
                               <input class="input-text" id="data-inicio" type="text" size="30" name="data1" placeholder="Ex.: 01/10/2013" required>
                            </div>
                        </div>
                       <div class="row">
                            <div class="col-md-1" >
                                <label class="label-grande" for="data-inicio">Data Fim:</label>        
                            </div>
                            <div class="col-md-2">
                               <input class="input-text" id="data-inicio" type="text" size="30" name="data2" placeholder="Ex.: 01/10/2013" required>
                            </div>
                        </div>
                        <div class="row">
                           <div class="col-md-4">
                               <input class="input-submit pull-right button-entrar" type="submit" value="Enviar">
                           </div>
                        </div>                   
                    </form>
                    <br>
                </div>
            </div>  
            <jsp:include page="rodape.jsp" flush="true" />
        </div>        
    </body>
</html>

